The Affordable Care Act allow states to expand Medicaid services by raising the income eligibility guidelines. The federal government will pay for 90% of the costs of the program expansion and the state is required to pay the remaining 10%. Many states (including Oklahoma) have opted not to particiapte in the program expansion. Do you feel that our state should or should not participate in Medicaid expansion and why?

Mr. Vincent is a 45-year old salesman; he is overweight and has a sedentary lifestyle. At work he suddenly develops severe chest pain and is nauseous. A coworker takes him to the nearby hospital. The ER doctor orders an immediate EKG. A diagnosis of acute myocardial infarct (MI) is made and Mr. Vincent is scheduled for a balloon angioplasty. The following day the surgery is done, and Mr. Vincent recovers with no complications. Tom, the nurse clinician, is assigned to educate Mr. Vincent regarding his procedure and the follow-up medications.

1) If Mr. Vincent’s stroke volume is decreased how would his heart compensate for the decrease thus “trying” to maintain the cardiac output? Please describe the mechanism of the compensation.

Below are two types of medications the physician could prescribe for Mr. Vincent. Please explain why these drugs could be useful to Mr. Vincent.

1. An antiplatelet drug: please write down one drug and explain its mechanism of action.
2. Beta blocker: please write down one drug and explain its mechanism of action.

What are the core concepts of Self-care deficit nursing theory of nursing by Dorothea Orem?

1. What regulatory authority will implement or enforce the AZ H.B. 2582 legislation?
2. What are the differences between federal, state, and local health care regulatory responsibilities in the AZ H.B. 2582 legislation?

Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). No known allergies (NKA). Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Disoriented to time and place, speech slurred. Pupils PERRLA, eyes clear. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. 50% intake. High fall risk. Renal diet. Family in room with patient very concerned.

Diagnosis: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Pathophysiology: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Etiology and Risk Factors: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Manifestations: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Diagnostic Tests and Rationale (labs, radiology, etc) _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Treatment: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Expected Outcomes: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Possible Complications: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Possible Nursing Diagnoses: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. No known allergies (NKA). Non-significant past medical Hx. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Neuro WNL's, alert and cooperative. IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Stools are decreasing but patient remains very weak. Wife at bedside. Diet as tolerated.

Diagnosis: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Pathophysiology: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Etiology and Risk Factors: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Manifestations: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Diagnostic Tests and Rationale (labs, radiology, etc) _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Treatment: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Expected Outcomes: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Possible Complications: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Possible Nursing Diagnoses: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

The following is just a suggestion of what your presentation outline should at least have: I. Introduction. Description of the Country – map of location; brief history of the country; flag and currency of the country; principal languages spoken. II. Selected Demographic, Health and income-inequality indicators; Human Development Index – These topics are covered in Section 2 of the course. You should read up what these indicators mean. This is where you learn something new. Be sure to visit www.cia.gov; www.who.int; www.unicef.org; www.undp.org; www.fao.org. If you choose a country in the Caribbean, you should also check out the website of www.paho.org. III. Non-Profit Organization and Micro-credit Financing. Look up or describe a nonprofit organization (NPO) doing microcredit financing work in that country – get info on History of the organization and micro-credit activities, how their system works, how it benefit the borrowers, how many borrowers benefit from the program, what kind of enterprises (give examples) were developed as a result of the micro-credit financing. IV. Major National Issues, epidemics, public health concerns or Humanitarian Crisis the Country is facing - Describe briefly. This section can be presented in the beginning, before micro-credit financing and right after the Health, income inequality, and Human Development section of your report. It does not have to come at the end. But sometimes, it may fit better at the end. Again, this thinking process is your group’s decision. V. Challenges and Prospects – What are some of the problems encountered in this type of loan program and how would you improve the situation. This is where you show your ability to analyze, and creativity in making changes or improvements to other people’s lives.  

I only need the answer for partV about challenges and prospects and showing some of health indicator about 250 words thank you

What are 5 cultures that are associated with high risk nutritional behavior?

A 16-year-old youth comes into the clinic you are working at and states I hear angels. What would you ask the youth or family to determine if he is showing the early stages of schizophrenia? Provide a rationale for why you ask the question.

How do we write a nursing care plan for vsim pediatric assimilation Eva Madison

List three contrasting characteristics of the fat and water soluble vitamins.

Jamie, 20 year old female, visits the outpatient healthcare provider for a consultation. As the nurse gathers data prior to the healthcare provider appointment, the client reveals that she feels that she has been drinking too much recently, has tried to quit unsuccessfully several times, but is not comfortable abstaining from drinking when she is around her friends who are socially drinking alcohol. She notes that alcohol helps her relax as she is taking college classes and feels very stressed with deadlines and workload in addition to her part-time job. She wants to talk with someone about how to modify her drinking but not give it up altogether.

The nurse responds to this by saying, “I don’t think cutting down on your drinking will help when you have not been able to quit before. Do you really think anything other than totally quitting will work? I have never seen that to be successful in our patients.”

1. Is the nurse’s communication with the patient appropriate? Why not?

2. What communication technique (block) did the nurse use?

3. How should the nurse communicate with this patient? Provide an example of a therapeutic response and name which therapeutic technique you are using.

Jamie tells the nurse that she thinks she can control her drinking if she does not have so much stress. It was her only way to deal with her problems and that going out with her friends caused her to drink too much.

4. What defense mechanism(s) is Jamie using?
   

What critical roles do nurses serve in emergency preparedness at the local, state and national levels?